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Home My WebLink AboutBLD2014-00153 1111 UILDING PERMIT APPLICA N BLDI4-00153 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00153 Received Date: 5/1/2014 SITE ADDRESS: 581 PINECREST DR PORT TOWNSEND, 98368 OWNER: THOMAS D CALDWELL PHONE: 360-385-2288 ALLEN H AUTRY 542 SANTOS ST PENSACOLA FL 32502-6189 KALA POINT#7 SUBDIVISION: Block: Lot: 408+ PARCEL NUMBER: 965000267 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: MILLS REMODELING PHONE: 360-732-7373 124 VAN TROJEN RD CHIMACUM WA 98325 Contractor's License MILLSRD935R8 Expires 3/7/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW DECK and stairs TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION 5,500.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: 414 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $113.00 MEB 04/29/14 148615 Plan Check $73.45 MEB 04/29/14 148615 ` P P RQ State Building Code $4.50 MEB 04/29/14 148615 . 0 9 2014 Total: $190.95 J• "erson County b D APPROVED MAY 2 8 2014 Jefferson County DCD XlfirlcmorWrlofolfnrrnet R1 Il Ann Rlrl rn+ Ail/1(11A CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD14-00153 APPLICANT: THOMAS D CALDWELL PHONE: 360-385-1625 ALLEN H AUTRY 542 SANTOS ST PENSACOLA FL 32502-6189 SITE ADDRESS: 581 PINECREST DR Issue Date: 05/28/2014 PORT TOWNSEND, 98368 Final Date: 7/16/2014 SUBDIVISION: 9650 Block: Lot: 408+ PARCEL NUMBER: 965000267 Section: 27 Township: 30 N Range: 1W PROJECT DESCRIPTION: NEW DECK and stairs THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012 EDITION. OCCUPANCY GROUP: R-1 TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes ( no), THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/16/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 7/16/2014 . i 0 01' 4.--3--_,,y77?-1i y, i . ):___7 /,it, „,,, , ..,..1::::„ .,,,,,,,, , , • i ii / 007) 1 q ,. j .,,--,17 .3.-.z, ii „/ , / _ .T 07 1 tii i /c------1. 1 i /4%/ • • //a • ____________ \-:/' ,,,/ ,.. .: , t i ec APR 2 V 2014 .6,Aafie.. \In ECE [MEn i I \u \ JEFFERON COUNTY 1 rU AY 2 7 2014 DEPT.OF COMMBNITY DEVELOPMENT : --------------------- JEFFERSON COUNTY L . :13F-COMMLINITY DEVELOPMENT . i 11111 ?-31eArl f-l-Q"-Se 0 i fi.= \ e-O-A fjtt • 1 , 0)(isv .A. ... 10 be- 0-----u-k , F-eitice•— e ,,i:;. t&:(,), ----:4_1r/MH:,„,:(4/„1..04,i Scti:e.e-L L:te ci21:1111,- - - 171/1:::” .., •-•____:____L _____ /4.es.). if4c4Ick-- • -vd--: '*-2,..„ 'YfAV ... .:-; ,,', -____ ____ )1- , . - `1-5• _. ef"-- 0 APPROVED ..., vA.., 69 SITE PLAN ,. 'i, ,...,-, si, 51" 2,__,- , . . .,. , .,.. x ..1. so X MAY 2 7 2014 • Abs 1:0(4v-I fo'.3 -t-a914b . },,,,,m,,,,ts,,ms,ww.441;A:0,•-,,,m,„4„,,,,mA,•f-,,,,m,•,;•.,,,-,...-:', .: 11.1 al, 0 g_ 0(26fe‘l I("I 1 DEPT.OF SI 6 ,• i mr,:a. ,,10 DEVELOPP4UNT GNATURE: --7/4•21 ---- ,2oo , _.. . ..__, ._ .._.......,..._ .... . .._ .. , . Aqt---- -------- Lo T eio 6, — 4----- zor e/c)R ----------''''—---4 . _ . ...._. . .... r.- 7-- --It QD +- ro c$ 4. • 4 . . . . C.- _ 91 6 9r, 6 --Am -o 'b "z • ... , ri M Z, . • 0 '3, '"-1 ', ,11 C6 .., , ' _ ,1 31 , . , , ,,, NJ, , 0 "r.;■ ...ji. (A rr...... -4 Tv. _, ...... . . : . '*".. . . . . z..... ,.....c.) TN) N..1 .....1 ..3,...- . 0 0:: ......, -. tt6.0 -NI ,....0 CX) . C4 ,0 ,,. , :--.-: - 0 73, fa■ 0.• 0 at at< C.-i43 II 0 in < - c A 8 _01:3 r- --n 0 0 P■-) 0 73 Cr% ,..0 ni .... j , a 0 1:61 0 stl (... 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Q ,, CD o , 4 op 09c,_ 0 (,, , .. .).p,, x3 - - - 4=7" 'z ' I - 0 6 O O ro n a Q � t sl OQ o o p Q �? <2 �.. 5 lF l_ t S r l... GO a...-- : ( :-. 1 Jt) is g TV 3 0 (� F ; TV A co g <— a (A o • a Z r_ 2. g- tip_1111 ni N _-) ___-) L' i" Y � lilti as g1 ;lifli 0 Rn h ^`t ` t. ' it o∎ N j t+ CC• o ..p fo h z A s� _ wr»w t mote \� J/ F. R •fs in w I _ x �' cn a -t- r , "..1, 0 i ! `4.,) c_ 0 1111'1_4z,a74.1'. 0 Z N >~ • }p 'F_.. 14r]VY•It 10040 • -c ;�p " ;8 P iir n•s.•a teas ' oaese :,'.►t• - 0000'- PINECRE5T DRIVE , . sil g . e ta. it 1uuuT.• O fig• N ='s l4 s q 7 tu Ai 1..a M 1 • 4/ 4, l $ 1_ R" § 113 Q i eta m ,� t, A N • II iw i IJ fililig ' • • Standard Conditions for Residential Development in Jefferson County 1. LIGHTING: Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. Exterior lighting for residential uses shall not exceed twenty feet (20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 2. BUILDING HEIGHT: The building height is not to exceed 35 feet. 3. OUTDOOR STORAGE: Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4. UNLICENSED VEHICLES: Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk(or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requirements of JCC 18.20.100, Automobile wrecking yards and junk(or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 5. PARKING: A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 6. This permit has been reviewed consistent with JCC 18.40.130& 140.0 Notice: this permit does not excuse the applicant from complying with other local, state and federal ordinances, regulations or statues, applicable pp to the proposed development, but consistent with RCW 90.58. Future development beyond that specified in this permit shall require further review. 7. BMPs: The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 8. NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that"takes" listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine 2013-03-07_SFR_StdCond it ions 3/7/2013 1 • I Fisheries Service can levy penalties. Portions of Jefferson County, including marine waters, are included as "critical habitat"for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters Remove minimal vegetation for site development, especially large trees Allow trees that have fallen into surface waters to remain there Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet (1/8th of a mile) of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from "taking" bald eagles. This federal law defines the term "take" and describes the possible legal consequences when a "take" occurs. Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat. Contact the US Fish and Wildlife Service (http://www.fws.gov/pacific/eagle/) to learn more about how this law affects your project. Any individual, group, or agency can bring suit for a listed species"taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. 2013-09-06 SFR StdConditions 9/6/2013 2 -----ips /1 w O„ •� ff,\ JEFFERSOCOJNTY so/ ' rDEPARTMENT OF COMMUNITY t EVELOPMENT w • \•`' • ''• `.4 ' 621 Sheridan Street • Port Townsend • Washington 98368 O'$/ 360/379-4450 • 360/379-4451 Fax i www.co.jefferson.wa.us/commdevelopment HIN Master Permit Application MLA: Project Description(include separate sheets as necessary): A. ' - • beck.. _ . Tax Parcel Number: 966-000.9,67 Property Size: t € A, (acres/square feet) Site Address and/or Directions to Property: s sr p,N,�Lc� r Property •. er(s)of Record: %.41114V.M1 r : . • I, - I Telephone' 6 0 f — .2S Fax: • -2 email:3 Qelrath i • .♦ Mailing Address: . "T7 • �A o�'v. Applicant/Agent(if different from owner): tit r�, em 1 - 0 _ Vila I MIMI Telephone(36Q) 7741-1251 n Fa)('3610, 732-737 1 email: / Mailing Address:Qt. ()AN Tr'oreAs C,�t n(,N0.1 LOO. V33,2 if-(OT1Mt11C.•LOry What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic =-) ❑ Single Family ❑ Garage Attached/Detached ❑ Conditional Use[C(a), C(d),or C]** ❑ Manufactured Home .❑ Modular • - ❑ Discretionary"D"or Unnamed U -r,s IC-, ,'% ❑ Commercial* ❑ Special Use(Essential Pu• i(tl�,j �' U Change of Use ❑ Boundary Line Ad' 0 ❑ Address ❑Road Approach ❑ Short Plat** lc- ❑ Home Business ❑ Cottage Industry D Binding Site Long Plat** rL PI. Q ❑ Propane ❑ Lon o 2 %Agra • ❑ Planned Rural R r I DeOp l ment(PRRD ergme is**❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alte i. ❑ Stormwater Management .•r- Exe •• '.r„•':: � :0'.1'•** ❑Shoreline Master P D Site Plan Approval Aovance Determination(SPAAD)* ❑Shoreline Managem M u. anti it r ,::,,,, -nt** ❑Temporary Use ❑Shoreline Managem t VarjE CO ❑Wireless Telecommunication* ❑Comprehensive Plan/ DC • Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium D Jefferson County Shore ine Master Program Amendment *May require a Pre—Application Conference D Tree Vegetation Request **Re•uires a Pre-A••lication Conference Please identify any other local, state or federal permits required for this proposal, if known: A/O G ` (�S DESI NATION OF AGENT I hereby designate '-i / / A to acts my agent in matters relating to this application for permit(s). OWNER SIGNATURE �� .1 AMER t� Date: /_/5-/9 By signing this application form,the owner/age' attests that the information provided herein,and in any attachments,is true and correct to the best of . his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicati �. - or - e-nts p. otice. Signature: ei.. �1 _ _ Date: y /s--/4/ The action or actions App scant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA.°Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable/ s'•" fo adh j' ; to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: r�� ,(( Date: V/5—`15/ G:\PennitCenter\###FORMS###\DRD FORMS\Currenr F)RD Fe,,,,c\\facrP,nom,,,,:,a.,.,t:,,,,;,,.,;•,o n4 a„_ .gin BUILDER STATEMENT • I 1 The signer of this statement does hereoy certify that:hey are the Owners of the parcel referenced herein,that they are not licensed contractors and that they\vi be ass.:. i g spo.- ii :t e General Contractor for the proposed project aQ�l'f Signature. J. ,: ` IL �w Date. _._ 30— 1 GENERAL CONTRACTORFOR MANUFACTURED HOME INSTALLER: P,-"'NE: FAX: MAILING ADDRESS: /, ' J EivAIL. i t 01(010^ at ,6■ CONTRACTOR'S LICENSE ^ WAINS NUMBER: /Y)/LL-SEO R3S�S —__--- NUMBER ARCHITECT/ENGINEER.: A(A PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: ` Bathrooms: I Shoreline: j Type of Sewage Disposal: New Wood Existing: Sewer -= Addition -, Steel Proposed: I Bank 1 Community System Alteration/Remodel = Concrete Total: i Height: = Individual System Repair = Masonry — SEP Permit# — I Bedrooms: • Water Supply: - Demolition _ Other: pp Y: Existing: - Setback: C Private well C Two Party p Public Type of Heat: Pro posed: I /4. I Name of System: 1 If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants, employees,etc) Current Proposed •I IBC Occupancy _ . IBC Type of construction: Will you have Food Service? Yes / No If this is PropanerTank a;nd/or.Appliance Installation permit,mark all items below that apply: 1 Underground Tank-"'I..Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove I Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove i Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No Wheh appl ing for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank Iodation and size, distances from the propane tank to all property lines,buildings and septic system components, incicrdin• the reserve area. S uare Foota•e Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: -9-61 C . 2nd Floor Heated Consistency Review: 1 Cu Other Heated Base fee: 1 Mezzanine • Additional Section: • Heated Basement Plan Check fee: 1-3! qici. Unheated Basement State Surcharge fee: t 1"LO. Other Unheated Pot Water Review fee: 1 — I Garage/Carport SUBTOTAL I I 5-ik,q : Decks •11/Rd Approach fee: I Lilys- 1d ; 2: Other i I f TOTAL: &, R� t e Sl I Receipt Number: j i Cash/Check Number: 1 ESTIMATED COST(REQUIRED) Date: r /Zcf (c •Fair market value f all labor and materials foundation to finish ( _ ■550° 00 Initials: I i G-\PermitCenter\»##FORMS# #\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08 doc 'f////11----- _ ....J9-, T,C, , _ ., ,. __.. .,._ -,_„,„.• ,.. ,. ,,,, ,. ,, ,____ / .,-------1) 1 -‹. - / 7i) \ . R 1''4 , I .b. CEBVE1 1 , APR 29 2014 , . JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT 1 , 1 1 ------- — — , 1 I „A! 0„ 3 fri2„Art i_tom,se '' -..- ....5--- ' . ioxis6d4c4., --;-----_ geu.> clack , -to t.04".0424e CtadIC- - ,11/11 , _- - \-- , 1 . . . c ; i f --V I 1 , , . . .. ------- i 6 r" ev6 y Op Front Parcel Review • Parcel 965000267 Printed: May 5, 2014 THOMAS D CALDWELL Site Address(es): ALLEN H AUTRY 581 PINECREST DR PORT TOWNSEND, WA 98368 542 SANTOS ST PENSACOLA, FL 325026189 Parcel Number: 965000267 S-T-R: 27-30N-01W Total Acreage I Legal Description KALA POINT#7 LOT 408/409 CONTIG THRU BLA Land Use: 1100 Flood District: Fire District: 1 Planning Area: 4 Flood Map(FIRM)Panel No: School District 50 Zoning: 7,2-(.5 COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ ] Plot plan states "property line" [ ] Assessor's Map (Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [ ] Legal Access to Property YES NO [ ] Parcel Tags or Scanned Documents YES NO [ ] ESA's: Special Reports Nearby YES NO [ ] Designated Ag YES NO [ ] Shoreline Designation: YES 0 [ ] Shoreline Slope Stability: YES NO Stream Type:YES ! f, FWHCA: YES • Wetlands: YES 010, Rare Plants:YES Seismic: YES •' Landslide: YES tel Flood: YES Erosion: YES 4 Aquifer Recharge Area fa.NO SA-12 a 14 SIPZ: one At Ris High Risk Coastal CMZ: on High Risk Moderate RiskDisconnected CMZ Stormwater site plan submitted: YesNo [ ] Forest Lands: YES Adjoining Forest Lands: Commercial/ Rural/ Inholding [ ] Mineral Lands: YES O [ ] Agricultural Lands: YES O [ ] Archaeology: YES [ ] No Shooting Zone: ' NO WO,#-- [ ] Stormwater: New Im.-+ • s Surface Land Disturbing Activity Li I``. S ESA's Stormwater Req?!. in Req#2 Min Req#1 thru#5 Min Req#1,tom #10 Engineering _ [ ] Notice Provision =•-- •sure:• 'Is ort YES MRL YES = Forest Lands YES NO [ ] Landscaping Required: Y-. e [ ] Parking Spaces R-• . ed IF 2 Other I- 1 Building Height: C UBC Standard [ ] • Impervious Surface coverag rcentage: Resource Lands&Public: 10%I. Rural Residential: 25% Rural Industi#Per UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural Industrial Lands only [ ] Total Building (s) Size: RVC:20,000 SF CC:5,000 SF NC:7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/None specified Setbacks: Front: Left Side: Right Side: Rear: [ ] g Shoreline Setback: LSHA Setback: [ ] Road Classification: Road Approach: EXISTING OT REQD RAP [ ] SEPA Required: YES EXEMPI [ ] Flood Certificate: [ ] Existing Case(s)&Condition(s): Violations: Yes No [ ] Recorded Date of Subdivision: AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [ ] Lots/Require Declaration of Restrictive Covenant YES NO, submitted: YES NO [ ] UGA No Protest Agreement YES NO, submitted: YES NO [ ] Site Visit conducted YES NO [ ] Require Final Zoning Approval YES NO [ ] ADMIN: Setbacks entered in Permit Plan case N/A YES New Parcel Tags entered in Permit Plan N/A YES Special Reports Scanned N/A YES No parcel tags found for parcel Cases Associated with APN 965000267 Cases Name Review Type Status Planner BLD12-00067 tCU✓1y KULLER Application Received: 3/5/2012 Permit Issued/Case closed: 3/5/2012 Case Finaled: 3/12/2012 NEW HEAT PUMP BLD14-00153 CALDWELL I P Application Received: 4/29/2014 Permit Issued/Case closed: Case Finaled: NEW DECK and stairs BLD91-00164 KULLER F Application Received: 3/26/1991 Permit Issued/Case closed: 4/5/1991 Case Finaled: single family residence BLD97-00311 KULLER F Application Received: 5/20/1997 Permit Issued/Case closed: 5/21/1997 Case Finaled: 4/29/1998 PROPANE TANK INSfALLAI ION SEP91-00269 KULLER F Application Received: 6/6/1991 Permit Issued/Case closed: 6/18/1991 Case Finaled: 7/11/1991 SOM91-00269 KULLER RCR Application Received: 7/11/1991 Permit Issued/Case closed: 6/12/2013 Case Finaled: \\tidemark\data\forms\R_Parcel_CRMLA.rpt 5/5/2014 Page 2 of 2 ) 1 j tu ,.... - A -4-- -s my- ,,.., . ....., - --:-- •,A. ...,.' s.D 1 ' y.). --.- / , o 9 i c- ai.-, ,.... A, 7-- 1 1 • 0,, 1 0 _ , // / , , ., .v ...... 1 i a , ..../ // / , / a ' w 3. 1 I,. .i • f' ... 1 0 4 . Aiii g vl ‘1.. 4;_,I. ''' .'' , . , ), I ., I,0/ i4 - t` tC4.1).-r1 , -4- te .* I r /1 - ...> )_. - 0 CV (v)-cli V) +=t I It 1 / i,.. •' 7.9, Ill Q .. 1..i ... - t )( I ! .. 4 it. 1 1..1.1 Qk / / • .. i i , N ' . ' _ 1 "■,.. '"... .',. (a g . - ... 0 b; ? rii izzrz u3 cY, 2 — n 0. I.11 3 cl: 1,..... ••• t a A . 1 • I ki'D g,�oN c . JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Q� illt.,,, j► ti 621 Sheridan Street • Port Townsend • Washington 983• �s , 360/379-4450 • 360/379-4451 Fax D 2 g 2)\4 -tING http://www.co.jefferson.wa.us/commdevelopment/ P('' ON COO° Stormwater Calculation Worksheet 'E4FE uN'\o�vE��P�E� OE�� OF COM MLA# PROJECT/APPLICANT NAME: P k l t CA (c (,/c L°. I DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to classify the proposal as "small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required. PARCEL SIZE(I.E., SITE) Size of parcel a 96 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet K( ,817 , h sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation, and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species, other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar, alder, big-leaf maple, and vine maple; shrubs such as willow, elderberry, salmonberry, and salal; herbaceous plants such as sword fern,foam flower, and fireweed. LAND DISTURBING ACTIVITY, CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared, graded,filled, Answer the following two questions related to I excavated,and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert%acres or more of Construction site for structures L(,(( I `� sq/ft native vegetation to lawn or landscaped areas? 0 Drainfield, septic tank, etc. sq/ft Circle: Yes No Well, utilities,etc. sq/ft Does the project convert 21/2 acres or more of �( native vegetation to pasture? Driveway, parking,roads, etc. y� sq/ft -- Circle: Yes No Lawn, landscaping,etc. 0 sq/ft Other compacted surface, etc. 0 sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance ..—LI i 4. 5 sq/ft Cut # Fill FC (cu/yd) [over] stormwater calc worksheet Rev 9-9-2010—REV.9/9/2010 1 • • i. Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen materials, and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. STORMWATER CALULATIONS–IMPERVIOUS SURFACE NEW EXISTING Structures(all roof area) C sq/ft Structures(all roof area) as 9 6 sq/ft Sidewalks 0 sq/ft Sidewalks cli sq/ft Patios efl sq/ft Patios ' sq/ft Solid Decks 0 sq/ft Solid Decks 0 (without infiltration below) sq/ft ,,{ (without infiltration below) Driveway, parking, roads, etc Sv sq/ft Driveway, parking, roads, etc 3 YDD sq/ft Other 0 sq/ft Other sq/ft Total New 0 sq/ft Total Existing c„..1, q 6 sq/ft TOTAL � *This amount EXISTING*nt will)be used B r{ �Y STAFF to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: .Ot /o 0 Does the site have 35%or more of existing impervious surface? Circle: Yes No FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. G!a L _ (LANDOWNER OR THORIZED REPRESENTATIVE SIGNATURE) /r /� / (DATE) FOI;!''OFFICE USE ONLY '40,0„0-:/. -A4f3E F g,PAYP,APIVI4N Stormwater i Plan , ckz �: _d stormwater talc worksheet Rev 9-9-2010—REV 9/9/2010 2 BLD14-00153 ItUILDING PERMIT APPLICATION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00153 Received Date: 5/ 014 Z� SITE ADDRESS: 581 PINECREST DR PORT TOWNSEND, 98368 OWNER: THOMAS D CALDWELL PHONE: 360-385-2288 ALLEN H AUTRY 542 SANTOS ST PENSACOLA FL 32502-6189 KALA POINT#7 SUBDIVISION: Block: Lot: 408+ PARCEL NUMBER: 965000267 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: MILLS REMODELING PHONE: 360-732-7373 124 VAN TROJEN RD CHIMACUM WA 98325 Contractor's License MILLSRD935R8 Expires 3/7/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOII NEW DECK and stairs TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION 5,500.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 414 BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $113.00 MEB 04/29/14 148615 Plan Check $73.45 MEB 04/29/14 148615 State Building Code $4.50 MEB 04/29/14 148615 Total: $190.95 k\firinmor4\rlofelfnrmclF RI f1 Ann P1r1 rnf g/1/1111A 7-e•c0 O • .)1, JUl -- r a & JEFFERSON COUNTY Sl_./W 1-t, t,_ DEPARTMENT OF COMMUNITY DEVELOPMENT ti 6° " 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax \ �q�, �0/ www.co.jefferson.wa.us/commdevelopmen; `$IN.g_V Master Permit Application MLA: Project Description(include separate sheets as necessary): Tax Parcel Number: 966-000A / —_Y Property Size: , lG ACRE (acres/square feet) Site Address and/or Directions to Property: C� /� S f l�r�r�2?� r 1- �. .4 J owNsExt0 ..e Property • er(s)of Record: % � art >t ; r 7 6 • g _ - I Telephone. 6 0 t — .2S Fax: • - ,1 email:3 swath co+1 Mailing Address: ar 'TT '. ,,,►_4 4i��(1 Applicant/Agent(if different from owner): hA eimi �, t. , . .ffliMEMIll l/ Telephone(36Q) 7 7 q-. 2S( Fa(169) 732-'737 / email: P WOtl/tO Mailing Address:Qq r r<'- '_ y, A, _ I •.. (-form/4u_•Lovv) What kind of Permit?(Check each box that applies ❑Lot or Road Segregation j 'Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic =-) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home .❑ Modular - ❑ Discretionary"D"or Unnamed U "11,s i s . 9. Commerciial* r j 0 Use(Essential�u• ' .�,�;it u 0 Change of Use ❑ Boundary Line Ad' 0�i ❑ Address_ ❑Road Approach ❑Short Plat** v ❑ Home Business ❑Cottage Industry ❑ Binding Site PI. c}.\\ L. ❑ Propane ❑Long Plat** `Z ❑Sign - ❑Plannea Rural R.. .-yi:l DelrelOpmeht(PRRD ' ename,is"* ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alte 1 • W► ❑Stormwater Management ❑Shoreline Master P . .t Exe ,• :. � ∎,'- •s** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Managem-• u• antl � i ent-*' ❑Temporary Use ❑Shoreline Managem, t Var . F° ❑Wireless Telecommunication* ❑Comprehensive Plan L DC • Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shore me Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Re•uires a Pre-A.•lication Conference Please identify any other local,state or federal permits required for this proposal, if known: /I ` �� „ DESI NATION OF AGENT I hereby designate - Mr A to act -s my agent in matters relating to this application for permit(s). OWNER SIGNATURE I /' J ,L / Date: V—/5 By signing this application form,the owner/age- attests that the information provided herein,and in any attachments,is true and correct to the best of . his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicati. '•- or- e nts p• otice. Signature: %.,i 411 _ Date: r — The action or actions App scant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable ,'• s'••• fo adhe ,, to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: ,' . Date: /S`/7' • I _ BUILDER STATEMENT The Signer of t`'s statement does h° e -y certify tha ey are the Owners of the parse;refe e c herein,that they are not:versed contractors and �� Owners a d tha: I :ne; be assuming the responsioi;ty of the Genera;Contractor for the pr000sect project S g^.a:ure. Date -- G NER.AL CONTRACTOR OR MANUFACTURED HOME INSTALLER: P ;cHIE: FAx: I P1:1 l s 2eeww e c I At? 4.. Dent cto (310) 732-7373 ( ) MAILING ADDRESS: '� A l�d tM E • -/ AN 1 A.!",-- i ,+r 14.; _ UNOw^ 04 , .eDiAt CONTRACTOR'S LICENSE WAINS NUMBER: n/LL (1 SE Q3SeS NUMBER . / ARCHITECT/ENGINEER: L A v t " PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: i Frame Type: ' Bathrooms: 1 Shoreline: Type of Sewage Disposal: i New IX Wood Existing: ; = Sewer 2 Addition _ Steel Proposed: . Bank , 2 Community System g- Alteration/Remodel Concrete ' Total: - Height: 2 Individual System 2 Repair ' = Masonry — I SEP Permit# _ 2 Demolition 2 Other: Bedrooms: Water Supply: Existing: - Setback: 0 Private well 2 Two Party Type of Heat: I Proposed: - yf Public ' /4 i Total: Name of System: - I If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of Occupants(includes owners,tenants, employees,etc) Current Proposed • j IBC Occupancy__ _ IBC Type of construction: Will you have Food-Service? Yes / No If this is a Propane,Tank and/or Appliance Installation permit,mark all items below that apply: i Underground Tank' i Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove i Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. -- Square Footage`- Current bpbsect-- for Office Use Only Amount Revision Main Floor Heated _ EH Bld App Review: °Nr C ) 2"d Floor Heated - I/ t Consistency Review: L� Other Heated Base fee: } Mezzanine Additional Section': • • C I Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: ' . Other Unheated —- --- ---. — - . I Pot Water Review fee: Garage/Carport SUBTOTAL A ■1 04 Decks /8 fir& 11/Rd Approach fee: t s""' Other ! % .I� �- I�i TOTAL: $ ' &i R,) j 1 . Receipt Number: -L ni?b Cash/Check Number: /1LC6 n e I -� ESTIMATED COST(REQUIRED) Date: i L., 2��%' *Fair market value f all labor and materials foundation to finish J 5-600.00 Initials: asol Map Output Page 1 of 1 Arc MS HTML Viewer Ma• 999900140; 1 965000264 965000257 965=307 5�l 965000265 Legend JC_Roads ... :; Parcels-H Y 456 +x(321 q Recharge Critics Aquifer ar e 96°4, 7 Areas Oak Shore Dir SUSC=UNI( > ? I SARPA.SUSC .emu. ro SUSC ta+�lt+ & I SARPA 965000241 SARPA.UNK 999�dC./ids 965000245 965400270: 099900161 965d0tr25t' 1 ..r.:,a:d a c c n Ca.n ::<r+ra 3e xwoes GG965000271` FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its ollection. Mon Ma 05 09:14:54 2014 http://gisserver/servlet/com.e sri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.0&Form=True... 5/5/2014 Map Output • 1111 Page 1 of 1 ArcIMS HTML Viewer Map • J. 41 ariP '.: Legend Selected Features JC Roads Parcels-H l• Ka a Point No Shooting Zones IGrin non 7 Llnnnon 13 iact Pont Oak Shore Dr tin non Otynwic Cana]T ract s Orin non Triton Cove Icn nnasurrs C root IKai Point ElPart Ludlow Sault!Coye Pen vise LI J�l I: PradanO Ch irraeu rn I ad ock Max ercrecind try Jekrsan Cazvy coma .32311 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Mon May 05 09:15:42 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.0&Forni=True... 5/5/2014 Map Output • • Page 1 of 2 ArcIMS HTML Viewer Map (-",-\J, • 1 _. :_L 9 ..'q6SOC■0269 1 3, ,,„.a Dr v g .r c-: c tid?r» i 984000255; 98000251 traps Ro.ded M x�'., 9d 'l0025t http://gisserver/servlet/com.e sri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.0&Form=True... 5/5/2014 Map Output • • Page 2 of 2 Legend Selected Features JC Roads Parcels-H County Zoning MPR SF Tracts Rural Resident bal 1:5 Rural Residential 1:10 Rural Residential 1:20 MPR-Smgie Family MPR-Muniamity M PR..Resort Cornelia( Parks and Recreat.on ■ M PR Open Space Rural Forest ■ Commercial Forest inhoktmg Forest 4 Harry industrial t Airport CPF MPR-VutageCenter ■ AP 1:20 ■ Rural Village Center . Resource Based Ind. Light industrial M PR Recreat ban Waste Morro[Pc LL'M LNC 4 Crossroaus•GC Crossroads•CC ■ C rossroads•NC ■ AL 1:20 r+ UGA.Urban Commercial UGA Urban Light Industrial UGA•MDR UGA IIDR UGA Public UGA-LDR UGA.Visitor Oriented Commercial MPR DRN Drinnon C F.8x'M RLO Commercial Farad' Mineral Resource Oreriay FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Mon May 05 09:16:28 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.0&Form=True... 5/5/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Ma• 44. ,,,,. —- . , r"..: f r 1_1...Aw___ 1111111 kill ra r ,, •.4._ Legend Selected Features JC_Roads Parcels-N I 2011 Aerial Photos i Oak g Share Dr' _g. lora . Et ke. le i _OR INFORMATIONAL F TIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its ollection. Mon Ma 05 09:16:58 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.0&Form=True... 5/5/2014 • • Jefferson County Building Division Permit Number: BLD14-00153 Applicant: CALDWELL BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2012 International Building Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor & Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks 5/9/2014 Erosion Control 5/12/2014 Post Holes 5/12/2014 Blocking 5/12/2014 A final inspection will not be scheduled until all of the following are completed and signed off by the applicable Department: • Building Permit Conditions are met • Septic Permit Final/Complete for any building containing plumbing • Land Use Conditions met and signed off • Public Works Permit Final(where applicable) FINAL INSPECTION -1fr5 ] -- FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD14-00153 1.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 2.) The revised site plan has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated May 27, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 3.) This approval is for a deck and stairs only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 4.) This parcel is within a no shooting area per JCC 8.50. 5.) zal 6.) The revised site plan recieved on 5/27/14 indicated that no impacts to the septic system from this proposed deck. The access to the septic tank must be maintained and it is understood that if the deck and/or stairs may need to be completely removed future issues arise with either the septic tank, primary or reserve drainfield areas. \\tidemark\data\forms\F_BLD_Permit_Bldg.rpt 5/28/2014 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD14-00153 Received Date: 4/29/2014 SITE ADDRESS: 581 PINECREST DR Issue Date 5/28/2014 PORT TOWNSEND, 98368 Expiration Date 5/28/2015 OWNER: THOMAS D CALDWELL PHONE: 360-385-1625 ALLEN H AUTRY 542 SANTOS ST PENSACOLA FL 32502-6189 KALA POINT#7 SUBDIVISION: Block: Lot: 408+ PARCEL NUMBER: 965000267 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: MILLS REMODELING PHONE: 360-732-7373 124 VAN TROJEN RD CHIMACUM WA 98325 Contractor's License MILLSRD935R8 Expires 3/7/2014 PROJECT DESCRIPTION: NEW DECK and stairs TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION 5,500.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 414 BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $113.00 MEB 04/29/14 148615 Exist: Exist: Plan Check $73.45 MEB 04/29/14 148615 Prop: Prop: State Building Code $4.50 MEB 04/29/14 148615 Total. Total. Total: $190.95 Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. Request must be received by 3pm the day before the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY -SEE ATTATCHED ¢gON �� . N JEFFERSON COUNTY 9S DEPARTMENT OF COMMUNITY DEVELOPMENT Date: Time Received: i07 ;g70 am pm Mon. Tue. Wed Thur. Fri. Date: 6/2.3/; ,I BLD: i 1 i' -- no r c, Contact Name: Owner: Contact Number: 360 Address: .' a( �uieC 2,&.57 DR 206 Notes: —1—)F Ck Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling • Inspections are required to be called in by 3:00 pm to receive an inspection the next day. Do to staffing issues, at this time, we cannot guarantee that you will receive an inspection the next day. day. Unless you receive a call from us, assume we will arrive on your requested inspection day. • You may leave an inspection request 24 hours a day, and Inspections are available from Monday through Friday. • We cannot determine the time we will arrive in advance. However, if you call our office the morning of your inspection, around 9:00 a.m.,we can give an estimate of when the inspector will arrive. Our general office phone number is 360 379-4450. • An approved set of plans are to be on site with building permit for all inspections. If permit and plans are not on site at time of inspection, a re-inspection fee must be paid prior to re-scheduling another inspection. • If no access, no inspections will be performed, and a re-inspection fee must be paid prior to re-scheduling another inspection. • Inspectors will not access a home that has personal affects inside when the owner is not present. • Commercial projects require 24 hour notice for inspection. �.,`so' co c„ °, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Date: /�Time Received: /0 ! a . r Mon. Wed. Thur. Fri. Date: BLD: /C'f' /(5-3 Contact Name: Owner: Contact Number: 360 5T. /LZ,3- Address: 5-81/ /0.4. -7-- r 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection )4,, Setbacks Floor Foundation Wall Address Posted Block &Tile Ceiling 44, °N `'°6� JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 9syt N0T Date: Pe Time Received: /Z'.Z7 a pm Mon. leiP Wed. Thur. Fri. Date: 7// BLD: i 4 v c)G p 53 Contact Name: Owner: niuz-ni..)6 -i- Contact Number: 360 .3Q j_ /42,5 Address: SP; -diver's-D1 D z 206 Notes: lad Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling